22 F I S I O T E R A P I E BOOK REVIEWS SEPTEMBER 19, 8 A m p u tation s and P rostheses. V ita li, M .; R o b in s o n , K . P .; A n d re w s, B. G .; H a r r is , E. E. B a illie re , T in d a ll. L o n d o n & Jo h a n n e s b u rg . 1978. A v a ila b le fro m C o llie r- M a c M illa n S.A. (P ty .) L td ., P.O . B ox 17, K e m p to n P a r k 1620 a t R 19,15. T h is n ew b o o k is a v a lu a b le re s o u rc e f o r p h y s io ­ th e ra p is ts a n d s tu d e n ts as it a c h ie v e s its o b je c tiv e “ to u n ite th e s tu m p a n d th e p ro s th e s is to fo rm a single lo c o m o to r u n i t ” . T h e c o n te n ts o f th e b o o k c o v e r b o th u p p e r a n d lo w e r lim b a m p u ta tio n s a n d th e illu s tra tio n s a re e x cellent. T h e h is to ric a l su rv e y a n d s ta tis tic s a n d tre n d s in B r ita in a re in te re s tin g . T h e c h a p te r o n re ­ h a b ilita tio n gives a c le a r o v e rv ie w o f th e fa c to rs in ­ v o lv ed in re s to r a tio n o f f u n c tio n a n d th e so c ia l r e ­ h a b il ita t io n o f th e a m p u te e . T h e se c tio n o n th e c lin ica l re q u ire m e n ts f o r p ro s th e s is a n d th e a d v a n ta g e s a n d d is a d v a n ta g e s o f c u r re n t p r o s th e tic d ev ices is c le a r a n d useful. T h e g re a te s t p a r t o f th is b o o k d e sc rib e s th e in d ic a ­ tio n s f o r a m p u ta tio n a n d th e te c h n iq u e s o f s u rg e ry and lin k s th ese w ith th e a p p r o p r ia te p ro s th e s is f o r the u p p e r a n d lo w e r lim b . T h e final c h a p te rs d iscuss the p o s t-o p e ra tiv e c h an g e s a n d c a re o f th e s tu m p a n d fu tu re tre n d s in th e d e v e lo p m e n t o f p ro sth e sis. T h is b o o k is w ell in d e x e d a n d h a s tw o p a g es of re fe re n c e s f o r f u r th e r re a d in g . I t w ill p ro v e to b e a v a lu a b le re fe re n c e b o o k f o r th o se p h y s io th e ra p is ts in ­ v o lv e d in th e r e h a b ilit a ti o n o f th e a m p u te e . J. A . G o r d o n R e h a b ilita tio n o f the L ow er L im b. H u m m , W . 3rd e d itio n . B a illie re T in d a ll. L o n d o n a n d J o h a n n e s b u rg , 1977. A v a ila b le fro m C o llie r-M a c M illa n S.A . (Pty) L td ., P.O . B ox 17, K e m p to n P a rk 1620 a t R IO ,55. T h e th ird e d itio n o f th is b a s ic te x tb o o k o n lo w e r lim b a m p u te e s is e sse n tia lly u n c h a n g e d e x ce p t th a t it is n o w in so ft c o v e r fo rm a t. P a rt o n e o f th e tex t h a s b e e n re o rg a n is e d a n d so m e a d d itio n a l m a te ria l h a s b e en in c lu d e d a b o u t the p h a n to m lim b a n d th e p sy c h o lo g ic a l p ro b le m s o f th e p a tie n t. T h is m a te ria l is to o b a s ic a n d su p e rfic ia l to be o f m u ch u tility to p h y s io th e ra p is ts a n d stu d e n ts. A m o re c o m p re h e n s iv e se c tio n o n th e p s y c h o ­ so c ia l p ro b le m s a n d a d a p ta tio n o f th e a m p u te e a n d h is fa m ily w o u ld h a v e b e en a v a lu a b le a d d itio n . T h e s e c tio n s d e a lin g w ith th e p h y sic a l tre a tm e n t o f th e a m p u te e a re c le ar, p ra c tic a l a n d u se fu l. T h e in ­ c lu s io n o f sa m p le a sse ssm e n t fo rm s w o u ld h a v e e n ­ h a n c e d th e text. T h e use o f n e u ro p h y s io lo g ic a l te c h n iq u e s is o m itte d in th e se c tio n o n th e tre a tm e n t o f flex o r c o n tra c tu re s . T h is b o o k c a n be re c o m m e n d e d as a b a sic b o o k o n lo w e r lim b a m p u te e s fo r stu d e n ts p r e p a r a to r y to f u r th e r study. J. A. G o r d o n 1978, Lung Sounds. F o rg a c s , P. B a illie re T in d a ll, L o n d o n a n d J o h a n n e s b u rg , 1978. + R 12,60. “ C a rd io lo g is ts w e re a m o n g s t th e first to see th e a d ­ v a n ta g e s o f c o rre la tin g c lin ic a l sig n s w ith p h y sio lo g ic a l events. A s a re s u lt o f th is a p p r o a c h , h e a r t s o u n d s a re no w o b se rv e d a n d in te rp re te d w ith m u c h g re a te r p r e ­ c isio n . A lth o u g h th e c o n c e p ts o f r e s p ir a to r y p h y sio lo g y h a v e a lso b e c o m e a n in te g ra l p a r t o f c lin ic a l m e d ic in e , lung so u n d s c o n tin u e to be d isc u sse d in th e langua o f th e n in e te e n th c en tu ry . I t m a y b e sa id th a t ]uJ?e so u n d s as e m p iric a l signs o f d ise ase, h a v e se rv e d w ell in th e p a st, b u t th e ir fin er p o in ts a re lik e ly to h* m isse d u n til th e m e a n in g o f d iffe re n c e s in lo u d n e s p itc h a n d tim in g is u n d e r s to o d ” . T h is d e lig h tfu l m ono’ g ra p h th u s d iscusses a u s c u lta tio n o f th e chest ' a c o u s tic as well as f u n c tio n a l te rm s a n d trie s to inter* p re t m o re a c c u ra te ly lu n g so u n d s as c lin ic a l signs C h a p te rs h e a d e d te rm in o lo g y , a c o u s tic s , physiology b r e a th a n d v o ic e so u n d s , w h e ez e s a n d c rac k le s fo rm the c o n te n ts o f th is b o o k . T h e b o o k is fa s c in a tin g readino fo r th e p h y s io th e r a p is t in te re s te d in tre a tin g respiratory c o n d itio n s a n d s h o u ld fo rm p a r t o f a n y p h y sio th era p y lib ra ry . y M . J. R unnalls Cancer R e h a b ilita tio n . A n In trod uction fo r P h y s ic therapists and A llie d P ro fe ssio n s. D o w n ie , P. A. (1978) F a b e r a n d F a b e r, L o n d o n 1978. A v a ila b le fro m M ac­ m illa n S o u th A fric a (P ty ) L td a t R 9,65. E r ic W ilk e s in h is p re fa c e o f th is b o o k sta te s “ Now in a n e ra o f e c o n o m ic s trin g e n c y a n d e s c a la tin g medical costs, o n e sees th a t h ig h -q u a lity lo n g -te rm sup p o rtiv e c a re has n o t b een p ro v id e d fo r se rio u s c h ro n ic dis­ a b ilitie s o f a n a g e in g so c iety : a n d it is to th is area th a t th e p h y s io th e r a p is t m o re a n d m o re is b e g in n in g to tu rn h e r a tte n tio n ” . T h e a u th o r o f th is b o o k describes v e ry sim p ly a n d p ra c tic a lly th e a p p r o a c h o f th e p h ysio­ th e ra p is t, as a m e m b e r o f th e m e d ic a l te a m , to the r e h a b ilita tio n o f c a n c e r p a tie n ts tre a te d by m edical m ea n s, su rg e ry a nd ra d io th e ra p y , as well as th e a p proach to th e te rm in a lly ill. M a n y case h is to rie s a n d references s u b s ta n tia te th e p h y s io th e ra p y tre a tm e n t. T h e chapters, a g e n e ra l b a c k g ro u n d to c a n c e r, a g e n e ra l o u tlin e to d ia g n o s tic m e th o d s, a n o u tlin e o f m e d ic a l a n d surgical tre a tm e n ts , th e ro le o f th e p h y s io th e r a p is t in p u blic e d u c a tio n c o n c e rn in g c a n c e r a n d th e psychological im p a c t o f c a n c e r s h o u ld p ro v id e th e p h y sio th e ra p y stu d e n t a n d th e n e w ly q u a lified p h y s io th e r a p is t w ith the b a c k g ro u n d in f o r m a tio n n e c e ssa ry to tr e a t a p a tie n t su ffe rin g fro m c a n c e r a n d to fulfil th e ro le o f the p h y s io th e ra p is t in th e c o m m u n ity as re g a rd s p u b lic e d u c a tio n . K M . J. RunnavJ P h ysioth erap y in Som e Su rgical C on d ition s. J o a n E. C ash. 5th ed. F a b e r & F a b e r . L o n d o n . D is tr ib u te d by M a c M illa n S.A . P ty L td a t ± R 1 6 ,0 5 . T h is 5th e d itio n is m u c h sm a lle r th a n th e 4 th — 318 p ag es a g a in s t 475. T h e r e d u c tio n is la rg e ly d u e to the o m is s io n o f c e rta in se c tio n s. T h e s e a re W o u n d s, Local In fe c tio n s , B u rn s, T h o r a c ic a n d C a r d ia c S u rg e ry and P e rip h e ra l N e rv e In ju rie s . B u rn s a re n o w in 5th e d itio n o f th e a u th o r ’s T ex t­ b o o k o f M e d ic a l C o n d itio n s ; T h o r a c ic a n d C a rd ia c S u rg e ry in th e C h e st, H e a r t a n d V a s c u la r D iso rd e rs, a n d P e rip h e ra l N e rv e In ju r ie s in th e 2 n d e d itio n of N e u ro lo g y f o r P h y s io th e ra p is ts . H o w e v e r, th e chapters o n C ra n ia l S u rg e ry a n d S u rg e ry o f th e S p in a l C ord h a v e b e e n r e ta in e d , in a lm o s t id e n tic a l fo rm . T h e se c tio n o f C o m p lic a tio n s C o m m o n to a ll O p e ra ­ tio n s n o w in clu d e s a u se fu l p a g e o n C a r d ia c A rrest, a n d P re s s u re S o re s a r e c o v e re d a little m o re fully, a lth o u g h th e use o f u ltr a s o u n d is n o t m e n tio n e d . G e n e ra l S u rg e ry h a s b e e n re v ise d b y tw o n e w con- R ep ro du ce d by S ab in et G at ew ay u nd er li ce nc e gr an te d by th e P ub lis he r (d at ed 2 01 3. ) ggpTEMBER 1978 P H Y S I O T H E R A P Y 23 b u t o r s a n d c o n ta in s a few a d d itio n s , in c lu d in g a p a g e trl ^ r te ria l S u rg e ry a n d u se fu l a d d itio n s to th e d ia g ra m c o m m o n in cisio n s. G y n a e c o lo g ic a l c o n d itio n s , w h ic h m e rite d o n ly th re e H a h a lf p ag es in th e f o u r th e d itio n , n o w h a v e th ir ty ^ e e s g iv in g e x ce lle n t in f o r m a tio n o n te rm in o lo g y a n d f^od h in ts o n tre a tm e n t. T h e r e a re a n u m b e r o f sm all hUt c lear a n d u se fu l lin e d ra w in g s. T he c h a p te r o n E a r , N o s e a n d T h r o a t D ise a se s has heen rev ised a n d s ta rts w ith a p a ra g r a p h se ttin g o u t th e nly c o n d itio n s u n d e r th is h e a d in g f o r w h ic h th e a u th o rs c o n sid e r p h y s io th e ra p y to b e u se fu l. I t is in te r ­ esting to n o te th a t n e rv e c o n d u c tio n tests o n th e fa c ia l nerve a re b rie fly d e sc rib e d , as is a lso th e te c h n iq u e of zinc io n is a tio n to th e m u c o u s lin in g o f th e nose. H o w ­ ever, th e b a la n c e is so m e w h a t o d d — w h ilst tw elve lines' a re d e v o te d to th e l a t t e r , w h ic h is sa id to be used v e ry o c c a sio n a lly , n o m e n tio n is m a d e o f w h a t the sig n ific a n t d iffe re n c e is, in m illia m p e re s o r volts, b e tw e e n o n e sid e a n d th e o th e r , in th e fa c ia l n e rv e conduction test. T h is is th e s o rt o f in f o r m a tio n fo r • hich th e p h y s io th e ra p y s tu d e n t w ill b e lo o k in g a n d ‘ foich o c c u p ie s o n ly o n e lin e o f p rin t. Soft T is s u e L e s io n s h a v e b e e n s e p a ra te d fro m F r a c ­ tures in th e 5th e d itio n . T h e c h a p te r o n fra c tu r e s is b r ie f b u t c o n ta in s a n e x ce lle n t d ia g ra m m a tic e x p la n a ­ tio n o f c o m p re s s io n p la tin g a n d a m ost u se fu l c h a rt o f c o m m o n fra c tu re s . It is difficult to d ra w u p th is ty p e o f c h a r t b u t M iss P a tr ic k h a s su c c ee d ed in s u m m a ris in g th e c o m m o n e st age g ro u p s , c au ses, m eth o d s o f fix a tio n , tim e s f o r s ta rtin g m o v e m e n ts, c o m p lic a tio n s a n d re su lts, v e ry c o n cise ly a n d still le ft ro o m f o r a d d itio n a l re le v a n t n o tes. S tu d e n ts w ill a p p r e c ia te th is. S o ft T is s u e In ju r ie s a re b riefly b u t e x te n siv e ly c o v ere d a n d a few p a g es h a v e b e e n a d d e d o n th e p h y s io ­ t h e r a p is t ’s a p p r o a c h to s p o rts in ju rie s. T h e c h a p te r o n a m p u ta tio n s h a s b e en re v is e d a n d e x te n d e d a n d h a s im p ro v e d d ia g ra m s illu s tra tin g b a n d a g in g o f th e a b o v e k n e e stu m p . U p p e r lim b a m p u ­ ta tio n s a re a lso c o v e re d a n d six p a g e s o f p h o to g r a p h s s u p p le m e n t th is c h a p te r. T h e c h ie f d isa d v a n ta g e o f th is b o o k is t h a t, lik e its p re d e c e s so rs, it is r a th e r to o sk e tc h y o n m u c h o f th e p h y s io th e ra p y d e ta ils f o r w h ic h stu d e n ts a r e se a rc h in g . H o w e v e r, it is still a u seful b o o k fo r in tr o d u c to r y re a d in g a n d f o r q u ic k re fe re n c e a n d sh o u ld b e o n e v ery s tu d e n t’s r e a d in g list. A b ib lio g r a p h y is g iv e n a t th e e n d o f e ac h c h a p te r. W . G . J. M . M o o t L e c tu re r THE THERABATH a light, p ortable, e c o n o m ic a lly -p ric e d W a x Bath T herabath p ro vid e s e ffe c tiv e p a ra ffin heat tre a tm e n t fo r a rth ritis , c h ro n ic jo in t in flam m ation, s tiffn e s s , m uscle spasm and a th le tic o r o th e r in ju rie s. H ands, fe e t o r e lb o w s are im m ersed, p a ra ffin is bru sh e d on o th e r areas. T h e rm o s ta tic a lly c o n tro lle d to hold the sp ecial T h e ra ffin w ax at a b e n e fic ia l 126° to 130°F. P ortable fo r use a ny­ w here. U ses less than 25 w a tts o f e le c tric ity ; o perates fo r less than ten cents a day. In itia l s u p p ly o f T h e ra ffin w a x included. Price R125 in clu d in g w ax M E D I C A L D I S T R I B U T O R S ™ 8LTBDPK ’C A P E Y O R K ’ 1 252 JEP P E ST. | J O H A N N E S B U R G | De W a a l H ouse. 172 V ictoria Road I W o o d st o c k , C.P. P L E A S E A D D R E S S A L L C O R R E S P O N D E N C E TO P.O. B O X R IG A S S E B L IE F A L LE K O R R E S P O N D E N S IE A A N P O S B U S 3378 J O H A N N E S B U R G 2000 TEL. A D D . 'D I S M E D ' P H O N E | F O O N 23-8106 T ELEX: 43-7129 S.A . R ep ro du ce d by S ab in et G at ew ay u nd er li ce nc e gr an te d by th e P ub lis he r (d at ed 2 01 3. )